胃癌患者的人性化肿瘤护理:病例报告

IF 0.7 Q4 NURSING Enfermeria Clinica Pub Date : 2024-05-01 DOI:10.1016/j.enfcli.2024.03.005
Dayana Mondol-Hernández , Ana Laura Solano-López
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引用次数: 0

摘要

癌症影响患者的身体健康、社会心理和精神健康。人性化护理是实现个人整体健康的基本要素。本文旨在根据华生的人性化护理理论原则,运用 NANDA、NOC 和 NIC 分类法的护理流程,介绍一个临床病例。患者是一名 45 岁的女性,患有处于姑息期的胃癌。评估采用戈登功能模式和沃森明爱病人评分量表,对之前在医疗系统接受的护理进行评估。通过临床推理网(决策冲突、焦虑和自我健康管理无效)确定了 8 项护理诊断,并将 3 项诊断列为优先诊断。通过远程护理进行健康教育,并在换位关系中有意识地使用 Caritas 护理流程,在护理过程中计划并实施预期结果和护理干预措施。结果通过指标量表进行评估,焦虑也通过贝克焦虑量表进行评估。肿瘤护理中的健康教育有助于改善知情决策、减少焦虑并提供情感支持,从而促进自我健康管理。在整个课程中,参与者感受到了人性化的护理,这一点在沃森爱心患者评分量表的最终评估中得到了体现。
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Cuidados humanizados de las enfermeras oncológicas en persona con cáncer gástrico: Estudio de un caso

Cancer impacts the person's physical health, psychosocial and spiritual wellbeing. The humanization of care is an essential element to achieve integral wellbeing of the individual. The aim of this article is to present a clinical case, using the nursing process with the NANDA, NOC and NIC taxonomies, and based on the principles of Watson's theory of humanized care. The participant is a 45-year-old woman with gastric cancer in palliative stage. The assessment was performed using Gordon's functional patterns and the Watson Caritas Patient Score scale to evaluate the care received previously in the health system. Eight nursing diagnoses were identified, prioritizing 3 diagnoses using the clinical reasoning web (decisional conflict, anxiety, and ineffective self-management of health). Expected outcomes and nursing interventions were planned and implemented through moments of care using health education through tele-nursing and the intentional use of Caritas processes of care in the transpersonal relationship. The results were evaluated with the scales of the indicators and anxiety was also evaluated with the Beck Anxiety Inventory. Health education in oncology nursing contributed to improve informed decision making, reducing anxiety and providing emotional support to facilitate self-management of health. The participant perceived as humanized care throughout the sessions, reflected in the final evaluation with the Watson Caritas Patient Score scale.

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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
74
期刊介绍: Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.
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